NPI | 1447609078 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: KY PT.007042) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: OH PT.014175) |
Enumeration Date | 2016-06-04 |
Last Update Date | 2020-05-27 |